Category: UnitedHealthcare

  • UnitedHealth Group Hints at Big Home-Based Care Plans

    UnitedHealth Group (NYSE: UNH) was the first health care titan to report its 2021 year-end results, doing so Wednesday morning. The Minnetonka, Minnesota-based company showed few signs of a pandemic-driven slowdown and hinted at big home-based care moves on the horizon. “Our broad home-based clinical care initiatives at Optum and UnitedHealthcare are central to improving […]

  • HLTH21: UnitedHealthcare Launches Virtual-First Health Plan, NavigateNOW

    What You Should Know:  – UnitedHealthcare today announced the launch of a new virtual-first health plan called NavigateNOW designed to provide people with a personalized virtual care team to provide medical and behavioral health services with a seamless hand-off for in-person treatment if needed   – Through this new health plan, eligible UnitedHealthcare members will be […]

  • CMS suspends enrollment in UnitedHealthcare, Anthem MA plans

    The agency has suspended enrollment in three UnitedHealthcare plans and one Anthem plan for 2022 because the plans did not spend enough of their premium incomes on medical benefits and claims. The payers can contest the suspension, though it is unclear if they plan to.

  • UnitedHealthcare nixes some out-of-network coverage for non-emergencies

    Per a policy update that went in to effect July 1, the health insurance giant is not covering non-emergency services that members receive at out-of-network facilities that are outside of their service area. This update mainly affects residential treatment facilities, inpatient rehabilitation and other non-hospital-based services.

  • UnitedHealthcare’s new social determinants effort spans 23 programs

    The payer’s Community Catalyst initiative includes 23 programs that involve collaborations with various community-based organizations and health centers. They tackle different types of social determinants of health issues, including food insecurity among seniors and the health needs of those in public housing.

  • Bright Health follows rival Oscar Health down IPO path

    Bright Health has filed preliminary paperwork for an IPO, joining its rivals in the insurance technology space in going public. Though there are few confirmed details at the moment, Bright Health is reportedly looking to raise $1 billion through the offering.

  • Why hospitals want CMS, FTC to examine two UnitedHealthcare policies

    Two UnitedHealthcare policies have raised several concerns among providers, including that they may display anti-competitive behavior and could block patient access to certain healthcare services. The American Hospital Association is asking the FTC and CMS to review and potentially block these policies.

  • Hurdle Secures $5M for Digital Mental Health Platform for People of Color

    What You Should Know: – Washington, D.C.-based Hurdle raises $5M in seed funding to accelerate its digital mental health platform for people of color. – Hurdle aims to provide an innovative teletherapy solution for employers and insurers; aims to remove barriers to mental health care for People of Color by rooting its services in evidence-based […]

  • UnitedHealth Rolls Out Employer Virtual Primary Care Plan

    What You Should Know: – UnitedHealthcare is rolling out a virtual primary care plan for employers that will be powered by telehealth platform Amwell, CNBC first reports. – The virtual primary care plan will allow patients access to physicians with low or no co-pays for routine care via phone or computer. – The virtual primary […]

  • 5 big healthcare lawsuits of 2020

    Some of the biggest legal stories of the year include patients attempting to mount a class action lawsuit against Mayo Clinic after an employee improperly viewed more than 1,600 health records and the Supreme Court hearing opening arguments in a case challenging the constitutionality of the ACA’s individual mandate.

  • UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020

    A number of major Medicare Advantage (MA) carriers are expanding their supplemental benefit offerings shaped around in-home care next year. UnitedHealthcare, the insurance arm of UnitedHealth Group (NYSE: UNH), is among them. Overall, UnitedHealthcare partners with more than 1.3 million physicians and care professionals across the U.S., plus another 6,500 or so hospitals and other […]

  • #Healthin2Point00, Episode 157 | The phrase is “Takeout Speculation”!

    Today on Health in 2 Point 00, Jess and I gossip about the wild rumor that UnitedHealthcare is acquiring Amwell. On Episode 157, we discuss Lark raising $55 million in a Series C along with a deal with Anthem to be their preferred DPP provider, Medicare Advantage plan Clover going public with a valuation of […]

  • Walmart to Offer Medicare Insurance Plans During 2020 Open Enrollment

    What You Should Know: – Walmart announced it will begin selling Medicare insurance plans during this year’s annual enrollment period, Oct. 15 through Dec. 7. Today, Walmart announced the launch of Walmart Insurance Services, LLC, a licensed insurance brokerage, which will assist people with enrolling in insurance plans—and simplify what’s historically been a cumbersome, confusing […]

  • Amwell and Cigna Ranks High in Telehealth Patient Satisfaction, J.D. Power Finds

    What You Should Know: – Amwell ranks highest among direct to consumer brands and Cigna ranks highest among health plans for telehealth patient satisfaction, according to the J.D. Power 2020 U.S. Telehealth Satisfaction Study – Though telehealth has been pitched as a solution to improve access to healthcare for everyone, more than half (52%) of […]